# MRS. MAUREEN MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821568569
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 115699 | MO | Yes |

## Other

- **Enumeration date:** 11/26/2018
- **Last updated:** 11/26/2018